| Ny Priority Medical Care Pllc | |
|
3501 202nd St Bayside NY 11361-1117 | |
| (718) 224-7194 | |
| Not Available |
| Full Name | Ny Priority Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3501 202nd St, Bayside, New York |
| Authorized Official Name and Position | Rita Bangy (MEDICAL BILLER) |
| Authorized Official Contact | 7184544356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ny Priority Medical Care Pllc 20 Westwood Cir Roslyn Heights NY 11577-1823 Ph: (718) 224-7194 | Ny Priority Medical Care Pllc 3501 202nd St Bayside NY 11361-1117 Ph: (718) 224-7194 |
| NPI Number | 1144506056 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 05/11/2012 |
| Medicare PECOS PAC ID | 1759542582 |
|---|---|
| Medicare Enrollment ID | O20120423000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144506056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 226527 (New York) | Primary |
| Provider Name | Glenford Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912058843 PECOS PAC ID: 4183518178 Enrollment ID: I20040211000127 |
| Provider Name | Inna Janas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972698736 PECOS PAC ID: 5294726436 Enrollment ID: I20040518001235 |
| Provider Name | William M Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457442956 PECOS PAC ID: 9638157720 Enrollment ID: I20040714000027 |
| Provider Name | Nodar Janas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770678021 PECOS PAC ID: 2365417631 Enrollment ID: I20040831000121 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Andrew L Isopo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952627697 PECOS PAC ID: 7214171206 Enrollment ID: I20130912000494 |
| Provider Name | Alireza Shirvani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073769154 PECOS PAC ID: 5395931588 Enrollment ID: I20131031001522 |
| Provider Name | Matthew Dounel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326280645 PECOS PAC ID: 5294961827 Enrollment ID: I20131203002071 |
| Provider Name | Yelena M Faynzilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063670750 PECOS PAC ID: 0840422051 Enrollment ID: I20140422000642 |
| Provider Name | Gina M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083037964 PECOS PAC ID: 0941524391 Enrollment ID: I20150113002343 |
| Provider Name | Michelle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316353162 PECOS PAC ID: 8921318098 Enrollment ID: I20151103000631 |
| Provider Name | Jessica Chappina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699151084 PECOS PAC ID: 3971807975 Enrollment ID: I20160211002439 |
| Provider Name | Jina Jacey Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468832 PECOS PAC ID: 3870871247 Enrollment ID: I20161107000433 |
| Provider Name | David Fridman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649610965 PECOS PAC ID: 9739468794 Enrollment ID: I20161115000374 |
| Provider Name | Ryan James Parnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598170078 PECOS PAC ID: 0840571667 Enrollment ID: I20170110000183 |
| Provider Name | So Young Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316410467 PECOS PAC ID: 1254679491 Enrollment ID: I20190213000519 |
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